Provider Demographics
NPI:1699065383
Name:LOPEZ, PATRICIA E (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:E
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7703 FLOYD DRIVE - DEPT. ORAL & MAXILLOFACIAL SURGERY
Mailing Address - Street 2:UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONI
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3900
Mailing Address - Country:US
Mailing Address - Phone:210-567-3297
Mailing Address - Fax:210-567-6600
Practice Address - Street 1:7703 FLOYD DRIVE - DEPT. ORAL & MAXILLOFACIAL SURGERY
Practice Address - Street 2:UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONI
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3900
Practice Address - Country:US
Practice Address - Phone:210-567-3297
Practice Address - Fax:210-567-6600
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF-263251223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery